Quirt Family Dentistry, Sc

NPI #1811356926 in Madison, Wisconsin

Provider Information

NPI Number: 1811356926
Entity Type: Organization
Organization Name: Quirt Family Dentistry, Sc
Subpart: Yes (part of a larger organization)
Parent Organization: QUIRT FAMILY DENTISTRY, SC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 17, 2016
Last Updated: Mar 11, 2016

Practice Location

Address: 6038 GEMINI DRIVE
City: Madison
State: Wisconsin
ZIP Code: 53718
Phone: (608) 807-1524

Authorized Official

Name: KENDRA WALKER
Title: CREDENTIALING TEAM LEAD
Phone: (217) 540-8312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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